Rosalind Voisin
Top 5 FHIR Terminology Servers for American Hospitals in 2026
Terminology server picks at American hospitals tend to fall into a smaller shortlist than the FHIR server picks do. Part of that is because fewer products focus on terminology specifically. Part of it is because, for the workloads that actu
Best FHIR Server Authentication Patterns for US Hospitals
Authentication is the part of a FHIR deployment that US hospital security teams will spend the most time on, and it is also the part where many integration projects quietly stall. The pieces are not complicated individually. SMART on FHIR l
Top 7 Open-Source FHIR Servers for American Hospital IT
Open-source FHIR servers used to feel like a research-lab choice for American hospital IT teams. In 2026 they are mainstream. Several of the largest US health systems run open-source FHIR servers in production for analytics, app development
Manual Replay vs Automatic Retry: Which Works for FHIR Pipelines?
When a FHIR pipeline drops a message, the question is not whether to recover it but how. American health systems running HL7v2-to-FHIR pipelines tend to land on one of two answers: automatic retry with exponential backoff, or manual…
FHIR Server Authentication: SMART Backend Services in Practice
Server-to-server FHIR authentication uses SMART Backend Services — the machine-to-machine cousin of SMART's patient launch. The spec is well-defined; production implementation has a few edge cases worth understanding. Client credentials + JWT assertion. The client generates a JWT signed with its private key. The auth server verifies signature against the registered public key and issues […]
FHIR Server Deployment: Kubernetes Patterns for 2026 Production
Deploying a FHIR server on Kubernetes in 2026 involves a mix of standard cloud-native patterns and FHIR-specific considerations. The five patterns below cover most production deployments. 1. StatefulSet with persistent volume for FHIR server + Postgres. The FHIR server itself is often stateless (state lives in Postgres), but Postgres is stateful. Use StatefulSet for Postgres […]